| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,563 |
6,934 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
379 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,356 |
672 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
711 |
354 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
355 |
197 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
92 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
898 |
761 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96127 |
|
212 |
191 |
$758.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$459.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$227.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
17 |
$225.13 |
| 81003 |
|
32 |
25 |
$58.22 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
13 |
$18.45 |